Autism: In-patient Care in Mental Health Hospitals

Debate between Lord Sahota and Lord Markham

Tuesday 14th November 2023 Lords Chamber

[Lord Markham (Con)]

I will come back in more detail on the contractual arrangements, but the point that the noble Baroness raises on making sure that there are no perverse incentives to do that has to be right. The now CQC-led reviews that we have agreed to put in place as part of continuing the recommendations of the noble Baroness, Lady Hollins, happen frequently. In the case of adults, there is a review every six months, if appropriate, and, in the case of children, every three months to make sure that every step of the way we ask whether this is really the right place for them to be.

[Lord Sahota (Lab)]

My Lords, these days, more and more parents would like to have purpose-built accommodation for their autistic children. At this moment, they are unable to have that because they cannot access an adaptation grant, also known as a disability facility grant. That needs to change so that parents can build independent self-contained accommodation for their autistic children, which can be done only through legislation and extra funding. Will the Government look into this?

[Lord Markham (Con)]

I am aware of the point that the noble Lord makes. About 48% of the reasons why people are not discharged are because of a lack of suitable housing. It is something on which we are working closely with Homes England and DLUHC, to make sure that we can utilise as much of the affordable housing grant as possible. I was not aware that legislation needed to be changed but I will happily look into that to see if it is the case.

Autism: Diagnosis Targets

Debate between Lord Sahota and Lord Markham

Tuesday 16th May 2023 Lords Chamber

[Lord Markham (Con)]

Yes, when I talk about supply, it is in all these fields. There are organisations of which I have personal experience, including the National Autistic Society, which does tireless work and has helped me out personally. So I know just how good they are in this situation. Absolutely, the whole strategy in this space is to expand supply by both the private sector and the independent and charity sectors.

[Lord Sahota (Lab)]

My Lords, on autistic children, do the Government keep separate facts and figures for minority communities? I have encountered quite a few ethnic minority children who are suffering from autism. Are there separate facts and figures anywhere for these children?

[Lord Markham (Con)]

Clearly, we pull together all the numbers. Typically, about 2.9% of children and young people are diagnosed with autism. I do not know whether that is different among ethnic minorities. I will happily research that and write to the noble Lord.

Patient Deaths: Ambulance Waiting Times

Debate between Lord Sahota and Lord Markham

Tuesday 14th March 2023 Lords Chamber

[Lord Markham (Con)]

The noble Baroness is correct that capacity is key to this, as are the workforce and the workforce plan. I am pleased to say that a more advanced version of that will be published shortly, hopefully showing that we are getting on top of it. At the same time, we have put 7,000 extra beds into the system, which is starting to have an impact. Category 2 wait times are down by an hour compared with last month, but clearly there is more that we need to do.

[Lord Sahota (Lab)]

My Lords, I declare that I am a councillor in Telford and Wrekin. Shrewsbury and Telford hospitals are under one health trust. The Government plan to close 24/7 A&E services at Telford hospital, which means that people will have to travel 15 miles to Shrewsbury in ambulances. This will put further pressure on our already overstretched ambulance services. Does the Minister agree that this will have a negative impact on the people of Telford and Wrekin?

[Lord Markham (Con)]

I am convinced that the ICS will make the best decisions for that area. I am very familiar with Sir Jim Mackey’s plans, which advocate setting up so-called hot and cold sites. It is often better to specialise in A&E in one area and “cold” elective treatments in another, in order to have more efficient treatment in both. I imagine that is very much part of the plan, which will see improvements in both A&E and elective services.